﻿
<%@ Page Title="PreHD" Language="C#" MasterPageFile="~/Site.Master" AutoEventWireup="true" CodeBehind="PreHD.aspx.cs" Inherits="WebApplication2.PreHD"  EnableEventValidation = "false"%>
    <asp:Content runat="server" ID="buttonContent" ContentPlaceHolderID="buttonContent">
           <asp:ImageButton ID="ImageButton1" runat="server" Height="30px" Width="30px" ImageUrl="~/Images/download.png" BackColor="#E2E2E2"/>
                    <br />
                    <asp:ImageButton ID="ImageButton2" runat="server" Height="30px" Width="30px"  BackColor="#E2E2E2" ImageUrl="~/Images/Print.png"/>
                    <br />
                    <asp:ImageButton ID="ImageButton3" runat="server" Height="30px" Width="30px"   BackColor="#E2E2E2" ImageUrl="~/Images/Unsign.png"/>
                    <br />
                    <asp:ImageButton ID="ImageButton4" runat="server" Height="30px" Width="30px" BackColor="#E2E2E2" ImageUrl="~/Images/Save.png" OnClick="ImageButton4_Click" />
                    <br />
                    <asp:ImageButton ID="ImageButton5" runat="server" Height="30px" Width="30px"  BackColor="#E2E2E2" ImageUrl="~/Images/Cancel.png"/>
                    <br />
                    <asp:ImageButton ID="ImageButton6" runat="server" Height="30px" Width="30px"  BackColor="#E2E2E2" ImageUrl="~/Images/Delete.png"/>
                    <br />
                    <asp:ImageButton ID="ImageButton7" runat="server" Height="30px" Width="30px" BackColor="#E2E2E2" ImageUrl="~/Images/Enable.png"/>
                    <br />
                    <asp:ImageButton ID="ImageButton8" runat="server" Height="30px" Width="30px" BackColor="#E2E2E2" ImageUrl="~/Images/Exit.png"/>
    </asp:Content>

<asp:Content runat="server" ID="BodyContent" ContentPlaceHolderID="MainContent" >
   <style type="text/css">
       #content1 {
          float:left;
           width: 33%;
          margin-left : 3%
          
       }
        #content2 {
          
           float:left;
           width: 25%; 
           margin-left :1%
       }
          #content3 {
          float: left;
            width:20%;
            margin-left : 1%
       }
       .checkboxes {
           float:right; 
             position: relative;
             top: -35px;
           }
       #line33 {
           margin-left: 40px;
       }
       #tbxpicker {
           width: 108px;
       }
       .verticalLine {
        border-right: thin solid #C0C0C0;
    }
       #DateForInsertion {
           height: 10px;
           width: 100px;
           margin-left: 0px;
       }
       #AssessmentDate {
           width: 91px;
       }
       #ModifiedDate {
           width: 88px;
       }
      </style>
    <div id="patient">
        <asp:Label ID="Label6" runat="server" Text="PatientName" Font-Names="Calibri" Font-Size="Small" style="margin-left: 3%"></asp:Label>
    </div>
    <div id="content1"  class ="verticalLine">
        <asp:Label ID="lblPreAssess" runat="server" Font-Bold="True" Font-Names="Calibri" Height="10px" Width="200px" Font-Size="Small" >Pre-HD Assessment</asp:Label>

        <div id="line1" >
            <asp:Label ID="lblWeight" runat="server" Text="Weight" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
         
          
         
            <asp:TextBox ID="TextBox1" runat="server" Width="50px" Height="10px"></asp:TextBox>
        <asp:Label ID="lblkg" runat="server" Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small">(kg)</asp:Label>
            <input type="checkbox" runat="server" id="unift"/><asp:Label ID="lblUnfit" runat="server" Text="Unfit to weight" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
           
        </div>
        <div id="line2">
            <asp:Label ID="lblBP" runat="server" Text="BP" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
        <asp:TextBox ID="tbxbp1" runat="server" Width="50px" Height="10px"></asp:TextBox>
<asp:Label ID="Label1" runat="server" Text="/"></asp:Label>

            <asp:TextBox ID="tbxbp2" runat="server" Width="50px" Height="10px"></asp:TextBox>
            <asp:DropDownList ID="ddlBP" runat="server" Width="150px" Height="20px">
            </asp:DropDownList>
           
           
        </div>

        <div id="line3" >
            <asp:Label ID="lblPulse" runat="server" Text="Pulse" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
       
            <asp:TextBox ID="tbxpulse1" runat="server" Width="50px" Height="10px"></asp:TextBox>

            <input type="checkbox" value="true" id ="regular"  runat="server">
            <asp:Label ID="lblReuglar" runat="server" Text="Regular" Height="10px" Width="40px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            
             <input type="checkbox" value="true" id ="irregular"  runat="server"><asp:Label ID="lblirregular" runat="server" Text="Irregular" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
          
        </div>
        <div id="line4">
            <asp:Label ID="lblBPpulse" runat="server" Text="BP/Pulse" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>

           

            <asp:TextBox ID="tbxbppulse1" runat="server" Width="50px" Height="10px"></asp:TextBox>
            
            /<asp:TextBox ID="tbxbppulse2" runat="server" Width="50px" Height="10px"></asp:TextBox>
          
            <asp:DropDownList ID="ddlbpPulse" runat="server" Width="150px" Height="20px">
            </asp:DropDownList>

            <asp:TextBox ID="tbxbppulse3" runat="server" Width="25px" Height="10px"></asp:TextBox>
            
        </div>
        <div id="line5">
            <asp:Label ID="lblTemperature" runat="server" Text="Temperature" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
   <asp:TextBox ID="TextBox2" runat="server" Width="50px" Height="10px"></asp:TextBox>
           
            <asp:Label ID="lblRespiration" runat="server" Text="Respiration" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small" style="margin-left: 55px" ></asp:Label>

            <asp:TextBox ID="tbxrespiration" runat="server" Width="50px" Height="10px" style="margin-top: 0px"></asp:TextBox>
        
        </div>
        <div id="line6">
            <asp:Label ID="lblBreathSound" runat="server" Text="Breath Sound" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
  
             <input  type="checkbox"  id ="cbVesicular" runat="server" name="cbVesicular"><asp:Label ID="lblvesicular" runat="server" Text="Vesicular" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            
        
             <input type="checkbox"  id ="Abnormal"  runat="server"><asp:Label ID="lblAbnormal" runat="server" Text="Abnormal" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            
          
        </div>
        <div id=" line7" >
            <asp:Label ID="Label2" runat="server" Text="Edema" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
 <input type="checkbox" value="true" id ="Absent" runat="server" ><asp:Label ID="lblAbsent" runat="server" Text="Absent" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
           

            <input type="checkbox" value="true" id ="Present"  runat="server"><asp:Label ID="lblPresent" runat="server" Text="Present" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
           
          
        </div>
        <div id="line8">
            <asp:Label ID="lblMental" runat="server" Text="Mental Status" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>

    

            <input type="checkbox" value="true" id ="Oriented" runat="server"><asp:Label ID="lblOriented" runat="server" Text="Oriented" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
           
<input type="checkbox" value="true" id ="Abnormalmental" runat="server" ><asp:Label ID="lblmentalAb" runat="server" Text="Abnormal" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
           
           
        </div>
        <div id="line9">
            <asp:Label ID="Label3" runat="server" Text="Pain" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
<input type="checkbox" value="true" id ="AbsentPain" runat="server" ><asp:Label ID="lblPainAbsent" runat="server" Text="Absent" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
           
           
             <input type="checkbox" value="true" id ="painPresent"  runat="server"><asp:Label ID="lblpainPresent" runat="server" Text="Present" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
          
        </div>
        <div id="line10">
            <asp:Label ID="Label4" runat="server" Text="Interdialysis  Complaints" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
       
            <input type="checkbox" value="true" id ="ICno"  runat="server">
            <asp:Label ID="lblICno" runat="server" Text="No" Height="10px" Width="96px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
          

             <input type="checkbox" value="true" id ="ICYes"  runat="server">
            <asp:Label ID="lblICYes" runat="server" Text="Yes" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            
           
        </div>
        <div id="line 11">
            <asp:Label ID="lblMobility" runat="server" Text="Mobility" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
       
            <asp:DropDownList ID="ddlMonility" runat="server" Width="150px" Height="20px">
            </asp:DropDownList>
            <br />
        </div>
        <hr>
        <div id="line 13">
            <asp:Label ID="lbl1Access" runat="server" Text="1st Access" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
        
            <asp:DropDownList ID="DDL1stSite" runat="server" Width="150px" Height="20px">
            </asp:DropDownList>

            <asp:DropDownList ID="DDL1stType" runat="server" Width="150px" Height="20px">
            </asp:DropDownList>
           
        </div>
        <div id="line14">
            <asp:Label ID="lbl2nd" runat="server" Text="2nd Access" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>

 <asp:DropDownList ID="ddl2ndsite" runat="server" Width="150px" Height="20px">
            </asp:DropDownList>
        
            <asp:DropDownList ID="ddl2ndtype" runat="server" Width="150px" Height="20px">
            </asp:DropDownList>
          

        </div>
        <div id="line15">
            <asp:Label ID="FistulaGraft" runat="server" Text="Fistula/Graft" Font-Bold="True" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
          
        </div>
        <div id="line16">
            <asp:Label ID="lblBruit" runat="server" Text="Bruit" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>


           <input type="checkbox" value="true" id ="cbBruit1" runat="server" >
            <asp:Label ID="lblBruit1" runat="server" Text="Present" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
             

            <input type="checkbox" value="true" id ="cbBruit2" runat="server">
            <asp:Label ID="lblBruit2" runat="server" Text="Abnormal" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
          
        </div>
        <div id="line17">
            <asp:Label ID="lblThrill" runat="server" Text="Thrill" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>

            <input type="checkbox" value="true" id ="cbThrill1" runat="server">
            <asp:Label ID="lblThrill1" runat="server" Text="Present" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
              

            <input type="checkbox" value="true" id ="cbThrill2" runat="server">
            <asp:Label ID="lblThrill2" runat="server" Text="Abnormal" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            
            
        </div>
        <div id="line18">
            <asp:Label ID="lblInfection" runat="server" Text="Infection" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
<input type="checkbox" value="true" id ="cbInfection1" runat="server" >
            <asp:Label ID="lblInfection1" runat="server" Text="Present" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            

             <input type="checkbox" value="true" id ="cbInfection2" runat="server" >
            <asp:Label ID="lblInfection2" runat="server" Text="Abnormal" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
         
        </div>
        <div id="line19">
            <asp:Label ID="Nesize" runat="server" Text="Needle size" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>

            <asp:Label ID="Art" runat="server" Text="Art" Height="10px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
<asp:TextBox ID="TextBox3" runat="server" Width="50px" Height="10px"></asp:TextBox>

            <asp:Label ID="Ven" runat="server" Text="Ven" Height="10px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
<asp:TextBox ID="TextBox4" runat="server" Width="50px" Height="10px"></asp:TextBox>
            
        </div>
        <div id="line20">
            <asp:Label ID="Cannulationattempts" runat="server" Text="Cannulation attempts" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
        
            <asp:TextBox ID="tbxcannuation" runat="server" Width="80px" Height="10px"></asp:TextBox>
           
        </div>

      </div>

    <div id="content2" class ="verticalLine">
        <asp:Label ID="lblPreHD" runat="server" Font-Bold="True" Font-Names="Calibri" Height="10px" Width="100px" Font-Size="Small" >Pre-HD Data</asp:Label>
        <div id="line12">
            <asp:Label ID="lblDryWeight" runat="server" Text="Ordered Dry Weight" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            <asp:TextBox ID="tbxDryWeight" runat="server" Width="50px" Height="10px"></asp:TextBox>
            <asp:Label ID="lblweightkg" runat="server" Text="(kg)" Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
          
        </div>
        <div id="line13">
            <asp:Label ID="lblTargetUf" runat="server" Text="Ordered Target UF" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>

     
            <asp:TextBox ID="TextBox5" runat="server" Width="50px" Height="10px"></asp:TextBox>
<asp:Label ID="lblufL" runat="server" Text="(L)" Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
          
        </div>
        <div id="line21">
            <asp:Label ID="lblIDWG" runat="server" Text="IDWG" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>

            <asp:TextBox ID="tbxidwg" runat="server" Width="50px" Height="10px"></asp:TextBox>
<asp:Label ID="lblIDWGkg" runat="server" Text="(kg)" Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
          
        </div>
        <div id="line22">

            <asp:Label ID="lblweightchange" runat="server" Text="Weight Change" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>

            <asp:TextBox ID="tbxweightchange" runat="server" Width="50px" Height="10px"></asp:TextBox>
           <asp:Label ID="lblweighchangekg" runat="server" Text="(kg)" Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
           
        </div>
        <div id="line23">
            <asp:Label ID="lblpfi" runat="server" Text="Planned fluid intake" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
           
            <asp:TextBox ID="tbxpfi" runat="server" Width="50px" Height="10px"></asp:TextBox>
            <asp:Label ID="lblpfiml" runat="server" Text="(mL)" Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
          
        </div>
        <div id="line24">
            <asp:Label ID="lblweighloss" runat="server" Text="Desired Weight loss" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
          
            <asp:TextBox ID="tbxweighloss" runat="server" Width="50px" Height="10px"></asp:TextBox>
            <asp:Label ID="lbllosskg" runat="server" Text="(kg)" Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
           
        </div>
        <div id="line25">
            <asp:Label ID="lblDuration" runat="server" Text="Dialysis Duration" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>

            <asp:TextBox ID="tbxDuration" runat="server" Width="50px" Height="10px"></asp:TextBox>
            <asp:Label ID="lbldurationhr" runat="server" Text="(hr)" Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
           
        </div>
        <div id="line26">
            <asp:Label ID="lblsaline" runat="server" Text="Saline" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>

            <asp:TextBox ID="tbxsaline" runat="server" Width="50px" Height="10px"></asp:TextBox>
            <asp:Label ID="lblsalineml" runat="server" Text="(mL)" Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
         
        </div>
        <div id="line27">
            <asp:Label ID="lbltfr" runat="server" Text="Total Fluid Removal" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
           <asp:TextBox ID="tbctfr" runat="server" Width="50px" Height="10px"></asp:TextBox>
            <asp:Label ID="lbltfrml" runat="server" Text="(mL)" Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
           
        </div>
        <div id="line28">
            <asp:Label ID="lblbloodflow" runat="server" Text="Blood Flow" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>

            <asp:TextBox ID="tbxbf" runat="server" Width="50px" Height="10px"></asp:TextBox>
            <asp:Label ID="lblbfml" runat="server" Text="(mL/min)" Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
        </div>
        <div>
            <asp:Label ID="lblUFRate" runat="server" Font-Names="Calibri" Font-Size="Small" Height="10px" Width="150px"></asp:Label>
            <asp:TextBox ID="tbxUF" runat="server" Height="10px" Width="50px"></asp:TextBox>
            <asp:Label ID="lblUFml" runat="server" Font-Names="Calibri" Font-Size="Small" Height="10px" Width="50px"></asp:Label>
        </div>
        <div>
            <asp:Label ID="lblDialysis" runat="server" Font-Names="Calibri" Font-Size="Small" Height="10px" Width="150px"></asp:Label>
            <asp:TextBox ID="tbxdialysis" runat="server" Height="10px" Width="50px"></asp:TextBox>
            <asp:Label ID="lbldialysisml" runat="server" Font-Names="Calibri" Font-Size="Small" Height="10px" Width="50px"></asp:Label>
        </div>
        <hr>
        <div id="line29">
            <asp:Label ID="lblcath" runat="server" Text="Catheter" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
         <asp:Label ID="lblartport" runat="server" Text="Arterial Port" Height="10px" Font-Names="Calibri" Font-Size="Small" Width="60px"></asp:Label>
           
            <asp:Label ID="lblvenPort" runat="server" Text="Venous Port" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
           
        </div>
        <div id="line30">
            <asp:Label ID="lblClots" runat="server" Text="Clots aspirated" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            

            
            <input type="checkbox" value="true" id ="cbClotsYes"  runat="server">
            <asp:Label ID="lblClotsYes" runat="server" Text="Yes" Height="10px" Width="20px" Font-Names="Calibri" Font-Size="Small"></asp:Label>

            <input type="checkbox" value="true" id ="cbClotsAN"  runat="server">
            <asp:Label ID="lblClotsAN" runat="server" Text="No" Height="10px" Width="40px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
           
         
           
            <input type="checkbox" value="true" id ="cbClotsVY" runat="server">
            <asp:Label ID="lblClotsVY" runat="server" Text="Yes" Height="10px" Width="20px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            
            <input type="checkbox" value="true" id ="cbClotsVN" runat="server">
            <asp:Label ID="lblClotsVN" runat="server" Text="No" Height="10px" Width="40px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
        
        </div>
        <div id="line31">
            <asp:Label ID="lblpatent" runat="server" Text="Patent" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
           
            &nbsp;
            <input type="checkbox" value="true" id ="cbpatentAY" runat="server" >
            <asp:Label ID="lblpatentAY" runat="server" Text="Yes" Height="10px" Width="20px" Font-Names="Calibri" Font-Size="Small"></asp:Label>

           
            <input type="checkbox" value="true" id ="cbpatentAN" runat="server" >
            <asp:Label ID="lblpatentAN" runat="server" Text="No" Height="10px" Width="40px" Font-Names="Calibri" Font-Size="Small"></asp:Label>

     
        
            <input type="checkbox" value="true" id ="cbpatentVY" runat="server">
            <asp:Label ID="lblpatentVY" runat="server" Text="Yes" Height="10px" Width="20px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
          
            <input type="checkbox" value="true" id ="cbpatentVN" runat="server">
            <asp:Label ID="lblpatentVN" runat="server" Text="No" Height="10px" Width="40px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
          
            
            </div>
        <div id="line32">
            <asp:Label ID="lblexitsite" runat="server" Text="Exit Site" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
      
             <input type="checkbox" value="true" id ="cbCleanDry" runat="server" >
            <asp:Label ID="lblCleanDry" runat="server" Text="Clean&Dry" Height="10px" Width="90px" Font-Names="Calibri" Font-Size="Small"></asp:Label>



           <input type="checkbox" value="true" id ="cbRedness"  runat="server">
            <asp:Label ID="lblRedness" runat="server" Text="Redness" Height="10px" Width="40px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            
              </div>
          <div id="line45">
              <asp:Label ID="Label5" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
              <input type="checkbox" value="true" id ="cbDischages" runat="server">
            <asp:Label ID="lblDischages" runat="server" Text="Discharges" Height="10px" Width="90px" Font-Names="Calibri" Font-Size="Small"></asp:Label>



            <input type="checkbox" value="true" id ="cbOthers" runat="server">
            <asp:Label ID="lblbOthers" runat="server" Text="Others" Height="10px" Width="40px" Font-Names="Calibri" Font-Overline="False" Font-Size="Small"></asp:Label>
          </div>

            
            <div id="line46">
                 <asp:Label ID="lblFlow" runat="server" Text="Flow" Height="10px" Width="150px" Font-Names="Calibri" Font-Overline="False" Font-Size="Small"></asp:Label>

            <input type="checkbox" value="true" id ="cbFlowN" runat="server" >
            <asp:Label ID="lblFlowN" runat="server" Text="Normal" Height="10px" Width="90px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            
            
  
            
            
            <input type="checkbox" value="true" id ="cbfLOWf" runat="server">
            <asp:Label ID="lblfLOWf" runat="server" Text="Reverse" Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            </div>
           
           
           
      
        <div id="line35">
            <asp:Label ID="lbldoi" runat="server" Text="Date of Insertion" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
        
             <input type="date" id="DateForInsertion" runat="server"/>
            <asp:Button ID="btnUnset" runat="server" Text="Unset" Height="25px" Width="60px" Font-Names="Calibri" Font-Size="Small" />
            
         
        </div>
        </div>
    <div id="content3" class ="verticalLine">
        <asp:Label ID="lblNursingNote" runat="server" Font-Bold="True" Font-Names="Calibri" Height="10px" Width="200px" Font-Size="Small" >Nursing Note</asp:Label>
       
        <div id="line36">
            <asp:Label ID="lblAcessPrblem" runat="server" Text="Access Problems" Height="10px" Width="200px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
         
           
           
        </div>
        <div>
             <asp:TextBox ID="tbxaccesspro" runat="server" Height="50px" TextMode="MultiLine" Width="200px"></asp:TextBox>
        </div>
        <div id="line37">
            <asp:Label ID="lblInvest" runat="server" Text="Investigation" Height="10px" Width="90px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            <input type="checkbox" value="true" id ="cbDone" runat="server"><asp:Label ID="lblDone" runat="server" Text="Done" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
           
            
         
        </div>
        <div>
             <asp:TextBox ID="tbxinvest" runat="server" Height="50px" TextMode="MultiLine" Width="200px"></asp:TextBox>
        </div>
        <div id="line38">
            <asp:Label ID="lblReasonNotDone" runat="server" Text="Reason not done" Height="10px" Width="200px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
          
          
           
        </div>
        <div>
              <asp:TextBox ID="tbxreasonNot" runat="server" Height="50px" TextMode="MultiLine" Width="200px" style="margin-right: 5px"></asp:TextBox>
        </div>
         <div id="line39">
            <asp:Label ID="lblComments" runat="server" Text="Pre HD Comments" Height="10px" Width="200px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
        
           
          
        </div>
        <div>
             <asp:TextBox ID="tbxComments" runat="server" Height="100px" TextMode="MultiLine" Width="200px" style="margin-right: 2px"></asp:TextBox>
        </div>
        <div id="line40">
            <asp:Label ID="lblAssessmentby" runat="server" Text="Assessment by" Height="10px" Width="90px" Font-Names="Calibri" Font-Size="Small"></asp:Label>

            <input type="checkbox" value="true" id ="Verified" runat="server" >
            
        </div>
        <div id="line41">
            <asp:DropDownList ID="ddlAssementby" runat="server" Width="100px" Height="20px"></asp:DropDownList>
             <input type="date" id ="AssessmentDate" runat="server"/>
        </div>
        <div id="line42">
            <asp:Label ID="lblModified" runat="server" Text="Modified by" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
           
        
        </div>
        <div id="Div2">
            <asp:DropDownList ID="ddlModified" runat="server" Width="100px" Height="20px"></asp:DropDownList>
             <input type="date" id="ModifiedDate" runat="server"/>
        </div>
    </div>
    
   
    </asp:Content>